Form I-924 - Application For Regional Center Under The Immigrant Investor Pilot Program Page 3

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Part 3. Information About the Regional Center (Continued)
Note: If extra space is needed to complete any item, attach a continuation sheet, indicate the item number, and provide the response.
1a. Describe the structure, ownership and control of the regional center entity.
b. Date the Regional Center was established(mm/dd/yyyy):
c. Organization Structure for the Regional Center:
1. Agency of a U.S. State or Territory (identify)
2. Corporation
3. Partnership (including Limited Partnership)
4. Limited Liability Company (LLC)
5. Other (Explain)
2. Has this regional center's designation ever been formally terminated by USCIS, or has the regional center ever filed a Form I-924
or regional center proposal or amendment that was denied?
Yes - Attach a copy of the adverse decision, with an explanation, the date of decision, and case number, if any.
No
3. Describe the geographic area of the regional center. Note: This area must be contiguous. Provide a map of the geographic area.
4. Describe the regional center's administration, oversight, and management functions that are or will be in place to monitor all EB-5
capital investment activities and the allocation of the resulting jobs created or maintained under the sponsorship of the regional
center.
Form I-924 (11/23/10) Page 3

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